Jessica Shane Rose Julia Esquivel
Individual provider Active NPI Personal Care Attendant · Lost Creek, WV
NPI 1104672492 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1104672492
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 8894 Good Hope Pike
Lost Creek, WV 26385-6934 - Phone
- (304) 695-9539
- NPI assigned
- Apr 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
8894 Good Hope Pike
Lost Creek, WV 26385-6934
Mailing address
8894 Good Hope Pike
Lost Creek, WV 26385-6934
Phone (304) 695-9539
Other providers in Lost Creek, WV
- Community Care of West Virginia, Inc.
- Hunter Connolly
- Laura Cottrill
- Tracy Davis
- Valarie Anne Dunlevy
- Ricky Lynn Evans Jr.
- Family Matters Psychological Services PLLC
- Vanessa Lee Fisher
- Tim Freeman
- Donna Jean Greaver
All providers in Lost Creek, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.